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      Hurricane Sandy (New Jersey): Mortality Rates in the Following Month and Quarter

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          Abstract

          Objectives. To describe changes in mortality after Hurricane Sandy made landfall in New Jersey on October 29, 2012.

          Methods. We used electronic death records to describe changes in all-cause and cause-specific mortality overall, in persons aged 76 years or older, and by 3 Sandy impact levels for the month and quarter following Hurricane Sandy compared with the same periods in earlier years adjusted for trends.

          Results. All-cause mortality increased 6% (95% confidence interval [CI] = 2%, 11%) for the month, 5%, 8%, and 12% by increasing Sandy impact level; and 7% (95% CI = 5%, 10%) for the quarter, 5%, 8%, and 15% by increasing Sandy impact level. In elderly persons, all-cause mortality rates increased 10% (95% CI = 5%, 15%) and 13% (95% CI = 10%, 16%) in the month and quarter, respectively. Deaths that were cardiovascular disease–related increased by 6% in both periods, noninfectious respiratory disease–related by 24% in the quarter, infection-related by 20% in the quarter, and unintentional injury–related by 23% in the month.

          Conclusions. Mortality increased, heterogeneous by cause, for both periods after Hurricane Sandy, particularly in communities more severely affected and in the elderly, who may benefit from supportive services.

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          Author and article information

          Journal
          Am J Public Health
          Am J Public Health
          ajph
          American Journal of Public Health
          American Public Health Association
          0090-0036
          1541-0048
          August 2017
          August 2017
          1 August 2018
          : 107
          : 8
          : 1304-1307
          Affiliations
          Soyeon Kim and Amy Davidow are with the Department of Biostatistics, Rutgers School of Public Health, Newark, NJ. At the time of study, Prathit A. Kulkarni was with the Epidemic Intelligence Service, Division of Scientific Education and Professional Development, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Mangala Rajan is with Rutgers School of Public Health. Pauline Thomas is with Rutgers New Jersey Medical School, Newark. Stella Tsai and Christina Tan are with the Division of Epidemiology, Environmental and Occupational Health, New Jersey Department of Health.
          Author notes
          Correspondence should be sent to Soyeon Kim, ScD, Rutgers School of Public Health, Newark Campus, Department of Biostatistics, Stanley S. Bergen Building, 65 Bergen St, 7th Floor, Newark, NJ 07101 (e-mail: sk132@ 123456sph.rutgers.edu ; skim@ 123456sdac.harvard.edu ). Reprints can be ordered at http://www.ajph.org by clicking the “Reprints” link.

          CONTRIBUTORS

          All authors conceptualized and designed the study, revised the article, and approved the final version of the article. S. Kim drafted the article. S. Kim and M. Rajan analyzed the data.

          Peer Reviewed

          Note. The findings and views in this manuscript are solely those of the authors and do not necessarily reflect the views of CDC.

          Peer Reviewed

          Article
          PMC5508144 PMC5508144 5508144 201618873
          10.2105/AJPH.2017.303826
          5508144
          28640678
          d553bae1-7582-4b30-8938-5bd3bbd9955b
          © American Public Health Association 2017
          History
          : 27 March 2017
          Page count
          Pages: 4
          Categories
          Cardiovascular Disease
          Other Environment
          Epidemiology
          Injury/Emergency Care/Violence
          Other Respiratory Health
          Mortality
          AJPH Research
          Hurricane Sandy

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